Redeeming hollow promises : The case for mandatory... Catalogue en ligne

Titre :	Redeeming hollow promises : The case for mandatory spending on health care for American Indians and Alaska natives. (2006)
Auteurs :	Timothy-M WESTMORELAND ; Kathryn-R WATSON ; Georgetown University. Law Center. Washington. DC. USA ; Georgetown University. Public Policy Institute. Washington. DC. USA
Type de document :	Article
Dans :	American journal of public health (vol. 96, n° 4, 2006)
Pagination :	600-605
Langues:	Anglais
Mots-clés :	Dépense santé ; Dépense ; Soins ; Ethnie ; Etats Unis ; Amérique ; Accès soins ; Inégalité devant soins ; Etat santé ; Système santé ; Economie santé ; Assurance maladie ; Amérique du Nord
Résumé :	[BDSP. Notice produite par INIST-CNRS R0xIfZh3. Diffusion soumise à autorisation]. The reliance on discretionary spending for American Indian/Alaska Native health care has produced a system that is insufficient and unreliable and is associated with ongoing health disparities. Moreover, the gap between mandatory spending on a Medicare beneficiary and discretionary spending on an American Indian/Alaska Native beneficiary has grown dramatically, thus compounding the problem. The budget classification for American Indian/Alaska Native health services should be changed, and health care delivery to this population should be designated as mandatory spending. If a correct structure is in place, mandatory spending is more likely to provide adequate funding that keeps pace with changes in costs and need.

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